Individual provider · Type 1 NPI

Shannon M. Kovalcik, NP

Nurse Practitioner · Phoenix, AZ

NPI number 1245317502 Active

Practice location

4840 E Indian School Rd Ste 101
Phoenix, AZ 85018-5500

Mailing address

24431 N 38th Ter
Glendale, AZ 85310-3360

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP2427 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1245317502

Shannon M. Kovalcik, NP's National Provider Identifier is 1245317502, issued on Nov 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.